The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.
Delayed diagnosis of congenital heart disease worsens preoperative condition and outcome of surgery in neonates
Open accessAbstract
Objectives: To assess whether the route by which neonatal congenital heart disease (CHD) is first recognised influences outcome after surgery. Methods: Surgical neonates admitted to a tertiary cardiac unit between March 1999 and February 2002 were retrospectively reviewed with analysis of risk factors for outcome. Three routes to initial recognition of CHD were compared: antenatal diagnosis, detection on the postnatal ward, and presentation after discharge to home. Outcome measures were mortality and duration of perioperative ventilation. Results: 286 neonates had cardiac surgery with a median duration of ventilation of 101 h and in-hospital mortality of 12%. Recognition of CHD was antenatal in 20%, on the postnatal ward in 55% and after discharge to home in 25%. Multiple regression analyses, including the cardiac diagnosis, associated problems and other risk factors, indicated that severe cardiovascular compromise on admission to the cardiac unit was significantly related to mortality and prolonged ventilation. Considered in isolation, the route to recognition of heart disease did not influence mortality or ventilation time. Route to initial recognition did, however, influence the patient’s condition on admission to the cardiac unit. Cardiovascular compromise and end organ dysfunction were least likely when recognition was antenatal and most common when presentation followed discharge to home. Conclusion: The setting in which neonatal CHD is first recognised has an impact on preoperative condition, which in turn influences postoperative progress and survival after surgery. Optimal screening procedures and access to specialist care will improve outcome for neonates undergoing cardiac surgery.
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Cites
Consensus-based method for risk adjustment for surgery for congenital heart disease
Jenkins, K. J., Gauvreau, K., Newburger, J. W., Spray, T. L., Moller, J. H., & Iezzoni, L. I. (2002) · The Journal of Thoracic and Cardiovascular Surgery · doi:10.1067/mtc.2002.119064 · Cited by 1,368
Detection of Transposition of the Great Arteries in Fetuses Reduces Neonatal Morbidity and Mortality
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Paediatric index of mortality (PIM): a mortality prediction model for children in intensive care
Shann, F., Pearson, G., Slater, A., & Wilkinson, K. (1997) · Intensive Care Medicine · doi:10.1007/s001340050317 · Cited by 574
Prospective diagnosis of 1,006 consecutive cases of congenital heart disease in the fetus
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Prenatal diagnosis of coarctation of the aorta improves survival and reduces morbidity: Table 1
Franklin, O., Burch, M., Manning, N., Sleeman, K., Gould, S., & Archer, N. (2002) · Heart · doi:10.1136/heart.87.1.67 · Cited by 421
Mahle, W. T., Clancy, R. R., McGaurn, S. P., Goin, J. E., & Clark, B. J. (2001) · Pediatrics · doi:10.1542/peds.107.6.1277 · Cited by 375
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Self-citationPresentation of congenital heart disease in infancy: implications for routine examination
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Length of stay after infant heart surgery is related to cognitive outcome at age 8 years
Newburger, J. W., Wypij, D., Bellinger, D. C., du Plessis, A. J., Kuban, K. C. K., Rappaport, L. A., Almirall, D., Wessel, D. L., Jonas, R. A., & Wernovsky, G. (2003) · The Journal of Pediatrics · doi:10.1016/s0022-3476(03)00183-5 · Cited by 282
Death in infancy from unrecognised congenital heart disease.
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Cited by
Temporal trends in survival among infants with critical congenital heart defects
Oster, M. E., Lee, K. A., Honein, M. A., Riehle-Colarusso, T., Shin, M., & Correa, A. (2013) · Pediatrics · doi:10.1542/peds.2012-3435 · Cited by 716
Mahle, W. T., Newburger, J. W., Matherne, G. P., Smith, F. C., Hoke, T. R., Koppel, R., Gidding, S. S., Beekman, R. H., Grosse, S. D., & on behalf of the American Heart Association Congenital Heart Defects Committee of the Council on Cardiovascular Disease in the Young, C. O. C. N. (2009) · Pediatrics · doi:10.1542/peds.2009-1397 · Cited by 346
Twenty-year trends in diagnosis of life-threatening neonatal cardiovascular malformations
Wren, C., Reinhardt, Z., & Khawaja, K. (2008) · Archives of Disease in Childhood - Fetal and Neonatal Edition · doi:10.1136/adc.2007.119032 · Cited by 326
Ewer, A. K., Middleton, L. J., Furmston, A. T., Bhoyar, A., Daniels, J. P., Thangaratinam, S., Deeks, J. J., & Khan, K. S. (2011) · The Lancet · doi:10.1016/s0140-6736(11)60753-8 · Cited by 326
Holland, B. J., Myers, J. A., & Woods, C. R. (2015) · Ultrasound in Obstetrics & Gynecology · doi:10.1002/uog.14882 · Cited by 286
Metadata
- Authors
- Brown, K. L., Ridout, D. A., Hoskote, A., Verhulst, L., Ricci, M., & Bull, C.
- Venue
- Heart
- Publisher
- BMJ
- Published
- 2006-01-31
- Volume
- 92
- Issue
- 9
- Pages
- 1298-1302
- ISSN
- 1355-6037 (ISSN-L)
- 1468-201X
- OpenAlex
- W2132553041
- Cited by
- 317
- References
- 21
- FWCI
- 4.65
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Brown, K. L., Ridout, D. A., Hoskote, A., Verhulst, L., Ricci, M., & Bull, C. (2006). Delayed diagnosis of congenital heart disease worsens preoperative condition and outcome of surgery in neonates. Heart. https://doi.org/10.1136/hrt.2005.078097
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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